Presentation
Child presenting to the emergency department following bicycle accident. Handlebars collided with abdomen.
Patient Data
A linear hypodensity extends through the pancreatic neck and body. The pancreatic body and tail enhance normally.
A laceration involves segment II of the liver.
Moderate volume low-density free fluid is present within the pelvis.
No duodenal wall thickening. No vertebral injury identified.
The patient was initially managed conservatively. He failed to improve and 3 days following admission a pancreas ultrasound was arranged.
A rounded, hypoechoic region is present within the pancreatic body immediately anterior to the pancreatic duct and splenic vein.
Case Discussion
The patient subsequently underwent laparotomy. Pancreatic hematoma was evacuated and the laceration oversewn. He made an uneventful recovery.
Traumatic pancreatic injury is a potentially life-threatening injury following blunt abdominal trauma. It is commonly associated with other traumatic injuries. Pancreatic transection refers to a full-thickness laceration.
Complications include pancreatitis, pseudocyst formation, and vascular injury.
Unable to process the form. Check for errors and try again.